Nursing HomeInspections

Friendship Home Association

Nursing home in Audubon, IA

Medicare & Medicaid certified4★ overall (CMS)

Call (712) 563-2651Send a messageMap ↗

Public-record details

Address
714 Division, Audubon, IA 50025
Phone
(712) 563-2651
Listed under
Nonprofit, 4–5 star overall rating
Medicare CCN
165232
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
46
Average residents per day
37
Ownership
Nonprofit, corporation
Legal business name
Friendship Home Association
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 3, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165232. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 19, 2025. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 9, 2023 to Sep 4, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 4, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 4, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 1, 2024Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 1, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Aug 1, 2024Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Aug 1, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Nov 9, 2023Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws,…
Administration		D
Potential for more than minimal harm, isolated
Nov 9, 2023Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		D
Potential for more than minimal harm, isolated
Nov 9, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Nov 9, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Nov 9, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $11,536 in the last three years.

Nov 6, 2023Fine: $2,797
Oct 30, 2023Fine: $2,447
Oct 23, 2023Fine: $2,098
Oct 2, 2023Fine: $4,194

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.92 hours
Registered nurse (RN) time per resident per day
0.54 hours
Nurse aide time per resident per day
2.66 hours
Total nurse staffing on weekends
3.34 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
60%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.